Role Description The Credentialing & Project Coordination Specialist is responsible for supporting provider credentialing, payer enrollment, and provider onboarding activities while serving as a key operational partner to the Strategic Initiatives team. This role ensures providers are credentialed and enrolled accurately and timely while coordinating project activities, tracking deliverables, facilitating communication, and supporting implementation of strategic organizational initiatives. The ideal candidate is highly organized, detail-oriented, and capable of managing multiple priorities across provider operations, credentialing, payer relations, and project management functions in a value-based primary care environment.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• 2+ years of experience in provider credentialing or payer enrollment.
• Experience working with Medicare Advantage, Medicare, and Medicaid plan enrollment processes.
• Knowledge of provider credentialing and payer enrollment processes.
• Strong organizational and project coordination skills.
• Proficiency with Microsoft Office Suite, including Excel, PowerPoint, and Outlook.
• Excellent written and verbal communication skills.
• Strong attention to detail and ability to manage multiple priorities simultaneously.

Requirements

• Experience in value-based care, primary care, or multi-site provider organizations.
• Experience using credentialing software, CAQH, payer portals, and provider enrollment systems.
• Familiarity with project management methodologies and tools.
• Experience with SharePoint and Power BI.

Company Description